Irrational prescription and its costs in neonatal surfactant therapy: public and private hospitals of Iran in 2018

Table 6 Direct medical costs and RVUs due to surfactant prescription among neonates

Total neonates ^a	Total direct medical costs	Rational prescriptions	Irrational prescriptions ^b		RVU for irrational prescriptions ^c		DMC ^d due to irrational prescriptions ^e	DMC and RVU for irrational prescriptions
Total neonates ^a	Total direct medical costs	Rational prescriptions	Public	Private	Public	Private	DMC ^d due to irrational prescriptions ^e	DMC and RVU for irrational prescriptions
11,284	$3,096,087.32	5272	4021	1991	$201,390.82	$226,252.64	$1,649,563.71	$2,077,207.18

^a provided based on the information system of the Ministry of Health
^b These values were calculated in proportion to the research results (among 595 verifiable cases, 317 were irrational cases (private hospital = 105, public hospital = 212) and 278 were rational (hospital = 55, public hospital = 223))
^c The cost of RVUs for surfactant-replacement therapy in neonates in Iran (2018) was calculated as 2.78 dollars in public hospitals and as 6.31 dollars in private hospitals and the service code for surfactant prescription was 18 RVUs. (Thus, the surfactant service code was 50.08 and 113.63 dollars for public hospitals and private hospitals, respectively)
^d Direct medical costs
^e This cost was obtained by taking the average cost of 407 irrational items into account from Table 5

ISSN: 1471-2431